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Culture and diversity in nursing
Narrative paper on diversity in health care
Narrative paper on diversity in health care
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The cultural diversity of patients is a very important issue affecting the nursing profession due to the fact that there is a current lack of diversity in the nursing workplace. It is important to remember that patients are not as homogenous as they used to be in the past, as the United States has incorporated diverse immigrant and cultural groups and continues to attract people from around the globe. The current challenge regarding diversity in the nursing workplace stems from underrepresentation of persons of color in management positions, persistent gaps in compensation and satisfaction between minority and majority managers and staff, and current racial and ethnic disparities in health care (Satcher, Pamies, & Woelfl, 2011). Population experts predict the United States will become a majority “minority” nation by 2050 (Johnson, 2016), which is indicative of the nation’s altering demographics. These statistics are putting greater pressure on hospital staff and physician practices to recruit a more diverse nursing workforce. In order to enhance diversity in the nursing profession, first concerted efforts must be made to address barriers which prevent under-represented groups from entering the profession, as well as advancing to levels of nursing leadership, including becoming managers. Currently white women make up more than three quarters of the …show more content…
I believe a more diverse nursing workforce is part of the solution to achieving health equity. With diversity in the workplace there will be more customized and culturally sensitive care, an expansion of quality care access for different minority groups, and an enhancement in nursing research, education, administration, and leadership. Diversity in the workplace is essential and when the nursing workforce reflects its patient demographic, quality patient communication and care will
Immigration and the minority population is increasing each and every year. With a growing ethnically diverse population, it is vital that nurses are sufficiently equipped for and able to work with patients in a way that identifies and respects their diversity.
So, organizations need to educate all nurses of all levels about all forms of discriminatory behaviours occurred in workplaces (Hagey et. al). Moreover, nursing leaders can urge the organizations to develop anti-discrimination policies and support IENs, who face workplace racial discrimination, to report and seek legal justice (CNFU, 2007). It helps enhance patient safety, quality care and also increases inter-professional collaboration. Nursing leaders should take step to ensure that IENs are treated equitably in all health care setting (Franklin et al….). Further, they can promote positive organizational culture to IENs by ensuring equitable treatment in the workplace. Encouraging cultural sharing during formal meetings as well as informal gatherings helps IENs explore Canadian culture also the role of leader in organizational level. Finally, nursing leaders have to sit to talk with the employers to provide sufficient opportunities and resources to help flourish their professional skills then only quality care and patient safety can be
Provision 8 also states, “The nurse also recognizes that health care is provided to culturally diverse populations in this country and in all parts of the world. In providing care, the nurse should avoid imposition of the nurse’s own cultural values upon others.” (Nursing World, 2001). The ANA Code of Ethics does not explicitly define diversity. However, in clinical settings, I strongly believe that I am continually being exposed to people of diverse backgrounds – socioeconomic status, gender, race, ethnicity, religion, age, sexual orientation, etc. As a student nurse and a future nurse, I will set aside my own bias and view my world through a panoramic lens in order to provide quality care with sensitivity to others. As a student ...
The healthcare workforce is suffering critically due to its lack in diversity. As healthcare organizations are growing and the number of patients is increasing, so is the diversity of the patients. There are more minority patients are the number of minorities increase in the United States. The need for minority employees is crucial in that they are needed to help assist patients who have the similar cultural, racial, and ethnic upbringings. There are many barriers in healthcare workforce that are keeping minorities from reaching their full potential to become employees in healthcare, particularly upper-level leadership positions; as patients continue to become more diverse, so does the need of employees.
The term culture is defined as “the thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups” (Potter & Perry, 2013). With the increase of culturally diverse populations in the United States, it is important for nurses to practice cultural competence. Cultural competence is the ability to acquire specific behaviors, skills, attitudes, and policies in a system that permits “effective work in a cross-cultural setting” (OMH, 2013). Being culturally competent is essential because nurses who acknowledges and respects a patient’s health beliefs and practices are more likely to have positive health outcomes (OMH, 2012). Every culture has certain views and attitudes concerning health. The Jewish (also referred to as Jews), in particular, have intriguing health practices and beliefs that health care providers need to be aware of.
What is happening to our health care system? Things are not looking up for those in the nursing profession as the nursing shortage is expected to intensify. According to the Bureau of Labor Statistics’ Employment Projections, in 2022 there will be 1.05 million job openings Registered Nurses (RNs). Currently the turnover rates in hospitals are 8.9% to 34.3%, with a national turnover rate on average of 16.5%, a 1.8% increase from 2012 (Colosi, 2014).There are several factors that affect the shortage, such as: lacks of instructors to enable more people to enroll in nursing school, people are coming up for retirement, and an increase in turn over (Rosseter, 2014). Now is the time for leaders and managers in nursing to step up and not only recruit
because evidence indicates that among other benefits, it is associated with improved access to health care for racial and ethnic minority patients, greater patient choice and satisfaction, and better educational experience for health professions students” (Why Diversity Matters in the Health Professions
Providing culturally competent care is a vital responsibility of a nurse’s role in healthcare. “Culturally competent care means conveying acceptance of the patient’s health beliefs while sharing information, encouraging self-efficiency, and strengthening the patients coping resources” (Giddens, 2013). Competence is achieved through and ongoing process of understanding another culture and learning to accept and respect the differences.
In the healthcare system, it is needed even more. Many healthcare facilities need to have their workforce diverse in order to reap benefits. In the 2000 U.S. Census, African Americans accounted for nearly 12.7 percent of the workforce, that number hasn’t increased exponentially today. Many minorities are underrepresented in the healthcare workforce, which can affect delivery of healthcare. Some benefits that many organizations see from a diverse work environment are: varied ideas, a larger talent pool, reduced discrimination, and more productivity. These benefits can impact the healthcare delivery system by improving quality of care and quality in the
The initiative recognized that nurses have the opportunity to change health care, as we know it, and transform it to meet the needs of the ACA. The barriers that were identified include “outdated policies, regulations and cultural barriers” (IOM, 2011, p. 85). While increasing the scope of practice for APRNs was a large part of this key message, cultural diversity, gender diversity, and the aging workforce were also highlighted.
Transcultural nursing requires us to care for our patients by providing culturally sensitive care over a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will definite cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts in my nursing practice.
According to the Society for Human Resource Management diversity is: “A broad definition of diversity ranges from personality and work style to all of the visible dimensions of diversity such as race, age, ethnicity or gender, to secondary influences such as religion, socioeconomics and education, to work diversities such as management and union, functional level and classification or proximity/distance to headquarters.” Diversity is a huge factor that we are striving for in many occupations around the world, but healthcare is one of the main professions that is becoming more diverse. Not only does it have many positive effects, it is providing the patients and workers with a sense of respect for each other. The patients are able to have a nurse or occupational therapists that understand where they are coming from. They might have the same morals or they might be in a similar situation as the patient, so they will be able to relate with the patient and understand them during difficult times. More companies are relating diversity into the workforce. Therefore they are able to have a more successful business because of the many changes they are making to meet the needs of each individual.
As a nurse strive to provide culturally sensitive care, they must recognize how their client's and their perceptions are similiar as well as different. Nurse enhance their ability to provide client-centered care by reflecting on how their beliefs and values impact the nurse-patient relationship. To provide appropriate patient care, the nurse must understand her/his culture and that of the nurse profession. Cultural biases can be particularly difficult to identify when the nurse and client are of a similar cultural backgroup. When we recognize and know a culture, we will know what is right for our patient, and thus may impose our own values on the client by assuming our values are their values. Recognizing differences a present an opportunity not only to know the other, but also to help gain a greater sense of self. In this paper, I will explain more about diversity and cultural competence in case study.
Characteristics can be as diverse as ethnic background, language spoken, gender status, physical appearance, race, and religion to name a few. Migration from various countries is creating a diverse population with different cultures and languages within the United States. Due to these cultural differences and lack of knowledge, disparities are increasing. Studies have shown that both language barriers and lack of cultural customs can hinder the services provided to the patient by the healthcare worker (Renzaho, Romios, Crock, & Sonderlund, 2013). This study provided a positive outcome when communication and cultural mutual understanding took place and patients had a more positive health outcome. It is very important that nurses are diversified in various cultures in order to better care for our patients. According to Mareno and Hart (2014), cultural competency has become one of the core values being taught in nursing programs. Their study showed that the perceived level of cultural awareness and skills among the nurses provided was low. Awareness and knowledge levels increased with higher education. It was highly recommended that self-awareness exercises be incorporated into the nursing course and continued to be addressed during the remaining curriculum until
Consequently, the Robert Wood Johnson Foundation (RWJF), an avid advocate for the evidence-based recommendations for change and advancement of health care and the Institute of Medicine (IOM) in recognizing these challenges in 2008, partnered to establish a two-year Initiative on the Future of Nursing. The committee was tasked with producing a comprehensive report with recommendations for action-based blueprint for the future of nursing, redesigning the role of nurses, expansion of nursing faculty besides attraction and retention of well-prepared and qualified nurses in various care settings capable of handling present and future the nation’s health care needs..(IoM.edu, 2015). After two years of vigorously working, the committee formulated four key messages that formed the basis of their recommendations which